ICU RN
Tacoma, WA
Thrive Staffing
4x12 hrs, Days

General Information

Join a dynamic healthcare environment floating among various units including ICUs, PCUs/CCUs, and ED holding. Candidates must possess a minimum of 1 year of ICU experience. Strong ICU skills and prior float pool experience are preferred for first-time travelers.

Patient Types

As an ICU Registered Nurse, you are expected to provide care for the following patient types:

• COVID Patients
• Neuro, Trauma, Medical, Surgical
• Sepsis, Pneumonia, DKA, DTs, Multi-system Failure, Spinal Injuries
• Pre/Post Cath Patients (Radial Approach), General Surgery Patients
• Respiratory Compromise, CHF, COPD, GSW, Stabbings, MVA, Strokes
• TBI, Various Back Surgeries

CVICU Responsibilities

In the CVICU, you will primarily care for:

• Post-operative CABG, Esophagectomy, TAVR, AAA Repair
• Thoracic and Vascular Surgeries, Post-arrest Patients

Excluded Care

Travelers are not expected to provide care for:

• Fresh CABG/TAVR
• EVDs, Post TPA, Any Devices (ECMO, IABP, Impella, Hypothermia Protocol)

Patient Ratios

Patient to nurse ratios are as follows:

• ICU: 1:2
• PCU/ACC/CCU: 1:4
• ER Holding: Same ratio based on patient's level of care

Certifications Required

• ACLS
• BLS
• NIHSS

Skills Required

Key competencies include:

• Cardiac Rhythm Interpretation
• Ventilator and BiPAP Management
• Invasive Line Management
• Ostomy and General Drain Management
• Tracheostomy, Chest Tubes, Lumbar Drains
• IV Medication Titration

Support Structure

Support is available on the unit from:

• Charge Nurse
• Hospitalist, RT, and Intensivist (available 24/7)
• Cardiologist on call 24/7 for CVICU & CCU & Cardiac Short Stay

Charting System

Experience with the Epic charting system is required.

Scheduling Details

Schedules are made for three weeks at a time and typically released 7-10 days in advance. The following scheduling conditions apply:

• Every other weekend required
• Back-to-back weekends may occur (rare)
• No self-scheduling; patterned schedule not guaranteed
• Time off of more than 5 days requires manager approval

Floating Responsibilities

Travelers may float to the following areas:

• Neuro/Trauma/Medical/Cardiac ICU
• CCU (Cardiac Step Down)
• PCU/ACC
• ED Holding
• Med/Surg Units
• Any open surge areas for the above units
• Allenmore location as needed (notification provided in advance)

Orientation

Orientation includes:

• 1 Day General Hospital Orientation
• 1 Day of Unit Orientation (12 hours) on the ICU Unit
• 1 Day of 12 hours on Similar Units

Additional